| NPI | 1417981408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL L PRIETO Sole Member 931-905-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 40917) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-11-28 |